566216144-3-7-2022-17-CC-GMIE-CCKUTS-20220316155221

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 566216144
Report Date: 03/07/2022
Date Signed: 03/07/2022 12:45:16 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/19/2021 and conducted by Evaluator Betzayra Cervantes

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20211119121858

FACILITY NAME:	GARCIA FAMILY CHILD CARE		FACILITY NUMBER:	566216144
ADMINISTRATOR:	GUILLERMINA GARCIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 253-5679
CITY:	OXNARD	STATE: CA	ZIP CODE:	93033
CAPACITY:	14	CENSUS: 8	DATE:	03/07/2022
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Guillermina Garcia		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Daycare child sustained a suspicous injury involving penetration.

INVESTIGATION FINDINGS:

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On 11/19/21, Investigations Branch initiated a service request for an investigation alleging “Daycare child sustained a suspicious injury involving penetration.” On 11/19/2021, Investigator, Douglas Real, was assigned this investigation via service request. On 11/22/2021, the initial visit and investigation was conducted by Investigator Real, from Investigations Branch (IB).

Investigation included interviewing Licensee, adults residing in the home, and other parties involved and review of both police and medical reports. On 11/19/2021, licensee self-reported incident in where Oxnard Police Department came to the licensee’s home to investigate the allegation that Child #1 “sustained a suspicious injury involving penetration.” C1’s parent stated that a couple of hours after arriving home, she began changing the child’s diaper and noticed blood coming from the child’s vagina. Licensee statements indicate that on 11/18/2021, Licensee changed C1’s diaper 3 times throughout the day and did not observe any redness, marks, scratched, or bleeding to the genital area. C1 was taken to the Emergency Room for medical evaluation. A copy of C1’s hospital records revealed that the child was diagnosed with an 8mm laceration on her labia majora, and no other injuries were identified.

Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra Cervantes	TELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 17-CC-20211119121858

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 566216144
	VISIT DATE: 03/07/2022

NARRATIVE

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According the police report, the forensics proved no sexual assault. The report also indicated that a sexual assault examination was conducted on the child and the RN who conducted the examination stated although the injury appeared suspicious and unusual, she did not suspect any type of sexual abuse. Physician advised Police Detective that the injury was unique, and she was under the belief it could have been accidental. Based on the time C1 was picked up from the daycare and the time bleeding was identified by the parent, it is unclear the injury occurred at the daycare facility or at the child’s home.

This agency has investigated the complaint(s) alleging " Daycare child sustained a suspicious injury involving penetration." Based on the evidence obtained during the course of the investigation by IB, the Department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit Interview was conducted in Spanish with licensee, Guillermina Garcia. No deficiencies cited today.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Betzayra Cervantes	TELEPHONE: (805) 680-7175
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2022

LIC9099 (FAS) - (06/04)

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